Aneurysm of an Aberrant Right Subclavian Artery: Case Report and Review of the Literature PAUL D. KIERNAN, M.D., JOSEPH DEARANI, M.D., WILLIAM D. BYRNE,

Slides:

Advertisements

Similar presentations

Kommerell diverticulum, right-sided aorta, and left aberrant subclavian artery in a patient with dysphagia Jenn-Yu Wu, MD, Hsin-Yi Chen, MD, Chin-Chung.

Advertisements

Managing Cancer Pain: Basic Principles and Invasive Treatments

Arteriovenous Fistula of the Thyroid Gland Associated With Spontaneous Bleeding From a Flow-Induced Aneurysm of the Inferior Thyroid Artery Paul J. Klingler,

40-Year-Old Woman With a Solitary Cavitary Lung Lesion

William L. Lanier, MD Mayo Clinic Proceedings

Saccular Kommerell aneurysm, a potential pitfall on MDCT imaging – A review of imaging features and potential mimics Hui Lin Wong, Charlene Jin Yee Liew,

Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery Takuro Tsukube, MD, Keiji Ataka, MD, Masahiro Sakata,

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

68-Year-Old Woman With Dyspnea and Chest Pain

64-Year-Old Man With Polyuria and Polydipsia

Systemic Thrombolytic Therapy After Recent Abdominal Aortic Aneurysm Repair: An Absolute Contraindication? David G. Cable, MD, Kenneth J. Cherry, MD

Pulmonary Infiltrates and Eosinophilia Associated With Sulfasalazine

Deep Venous Thrombosis of the Arm After Intravenous Immunoglobulin Infusion: Case Report and Literature Review of Intravenous Immunoglobulin-Related Thrombotic.

Simone N. Barretto, MD, Guilherme H. Oliveira, MD, Clement J

Surgical strategy for Kommerell's diverticulum: Total arch replacement

Surgical treatment for Kommerell’s diverticulum

Effect of extended cross-clamp time during thoracoabdominal aortic aneurysm repair Hazim J Safi, MD, Anders Winnerkvist, MD, Charles C Miller, PhD, Dimitrios.

Kommerell’s diverticulum and aneurysmal right-sided aortic arch: A case report and review of the literature Claudio S. Cinà, MD, FRCSC, Goffredo O. Arena,

Total endovascular repair for acute type B dissection in the setting of right aortic arch with aberrant left subclavian artery and Kommerell diverticulum

Volume 15, Issue 3, Pages (March 2008)

Peter Kleine, MD, Mustafa Balci, MD, Anton Moritz, MD

Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,

Nicholas T. Kouchoukos, MD, Paolo Masetti, MD

Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion Anthony.

Joseph S. Coselli, MD, Peter Oberwalder, MD

Right aortic arch and an aberrant left subclavian artery arising from a Kommerell diverticulum complicated by acute aortic dissection Joon Bum Kim, MD,

Malignant Hypertension as a Presenting Symptom of Takayasu Arteritis

Stapling of an aortic arch aneurysm

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Nicholas D. Andersen, MD, Michael E. Barfield, MD, Jennifer M

Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction

Chimney Technique for Aortic Dissection Involving an Aberrant Right Subclavian Artery Makoto Samura, MD, Nobuya Zempo, MD, Yoshitaka Ikeda, MD, Yoshikazu.

Aortic coarctation, vascular ring, and right aortic arch with aberrant subclavian artery Juan-Miguel Gil-Jaurena, MD, Marcos Murtra, MD, PhD, Arturo Gonçalves,

Antidepressants and Brain Neurochemistry

Jo T. Van Winter, M. D. , Francis C. Nichols, M. D. , Peter C

Heitham T. Hassoun, MD, R. Scott Mitchell, MD, Michel S

Fibromuscular hyperplasia in an aberrant subclavian artery and neurogenic thoracic outlet syndrome: An unusual combination Jennifer L. Chambers, MBBS,

Right Aortic Arch With Isolation of the Left Subclavian Artery: Case Report and Review of the Literature PATRICK H. LUETMER, M.D., GARY M. MILLER, M.D.

Lei Wang, MD, PhD, Jian Zhang, MD, PhD, Shijie Xin, MD, PhD

Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery Joseph J.

22- Year-Old Man With Abdominal Pain and Rash

Aortic coarctation in the adult: Management of complications and coexisting arterial abnormalities with hypothermic cardiopulmonary bypass and circulatory.

Tracheal Compression With “Hairpin” Right Aortic Arch: Management by Aortic Division and Aortopexy by Right Thoracotomy Guided by Intraoperative Bronchoscopy

Endovascular Repair of Ruptured Aberrant Left Subclavian Artery With Right Aortic Arch Manabu Motoki, MD, Koji Hattori, MD, Yasuyuki Kato, MD, Yosuke.

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Repair of postdissection descending thoracic aneurysm with right-sided aortic arch and aberrant left subclavian artery Fabrizio Follis, MD, Gianfranco.

A man with saphenous vein graft aneurysms after bypass surgery

68-Year-Old Man With Chronic Diarrhea, Nausea, and Vomiting

71-Year-Old Man With Syncope and Chronic Leg Edema

70-Year-Old Man With Abdominal Pain and Weight Loss

55-Year-Old Man With a Lung Lesion and Hemidysesthesia

Hybrid Repair of Subclavian-Axillary Artery Aneurysms and Aortic Arch Aneurysm in a Patient With Marfan Syndrome Akihiro Yoshitake, MD, PhD, Hideyuki.

RAUL E. ESPINOSA, M. D. , WILLIAM D. EDWARDS, M. D. , EDWARD C

Aortic dissection of Kommerell’s diverticulum in Marfan’s syndrome

A new predictive model for adverse outcomes after elective thoracoabdominal aortic aneurysm repair Scott A LeMaire, MD, Charles C Miller, PhD, Lori D.

30-Year-Old Man With Recurrent Episodes of Dyspnea

Hypoxemia in Malignant Carcinoid Syndrome: A Case Attributed to Occult Lymphangitic Metastatic Involvement Dennis E. Amundson, D.O., Peter J. Weiss,

Commentary: It's all about the distal

A new concept in distal arch aneurysm repair with a stent graft

Hazim J Safi, MD, Charles C Miller, PhD The Annals of Thoracic Surgery

Atherosclerotic aneurysm of the intrathoracic subclavian artery: A case report and review of the literature Matthew J. Dougherty, MD, Keith D. Calligaro,

New operative method for acute type B dissection: Left carotid artery–left subclavian artery bypass combined with endovascular stent-graft implantation

Atherosclerotic aneurysm in the circumflex retroesophageal right aortic arch Ryuji Tominaga, MD, Takahiro Nishida, MD, Shigeki Morita, MD, Munetaka Masuda,

Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta Paul J. Riesenman,

Managing Cancer Pain: Basic Principles and Invasive Treatments

74-Year-Old Woman With Dyspnea, Fever, and Cough

Esophagopericardial Fistulas

Aberrant right subclavian artery with preductal coarctation of the aorta Yoshihiro Ko, MD, Yuzuru Nakamura, MD, Michio Yoshitake, MD, Takahiro Inoue,

Appendiceal Diverticulitis

Endovascular Repair of Abdominal Aortic Aneurysms: Where Do We Stand?

Presentation transcript:

Aneurysm of an Aberrant Right Subclavian Artery: Case Report and Review of the Literature PAUL D. KIERNAN, M.D., JOSEPH DEARANI, M.D., WILLIAM D. BYRNE, M.D., THOMAS EHRLICH, M.D., WILLIAM CARTER, M.D., GARY KRASICKY, M.D., WILLIAM HARSHAW, M.D. Mayo Clinic Proceedings Volume 68, Issue 5, Pages 468-474 (May 1993) DOI: 10.1016/S0025-6196(12)60196-7 Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Diagram (superior view) of left aortic arch and anomalous right subclavian artery. (Redrawn from Grant.9) Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Chest roentgenograms of 54-year-old man obtained some years before development of aneurysm of aberrant right subclavian artery (A) and at time of diagnosis (B). Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 A and B, Computed tomograms of chest of 54-year-old man, showing origin of aneurysm of aberrant right subclavian artery arising from descending thoracic aorta. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Aortogram of 54-year-old man, illustrating aneurysm of aberrant right subclavian artery emanating from a Kommerell diverticulum off descending thoracic aorta, without visualization of ipsilateral vertebral artery. Normal caliber of right subclavian artery is shown distally. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Diagram depicting method of cross-clamping by using partial occlusion clamp across origin of Kommerell's diverticulum off descending thoracic aorta and cross-clamping of right subclavian artery through second intercostal space. Insert depicts thrombus retrieved from aneurysm. a. = artery; v. = vein. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 6 Diagram depicting Dacron graft reconstruction of descending aorta to right subclavian artery. Kommerell's diverticulum is oversewn with pledgets. Mayo Clinic Proceedings 1993 68, 468-474DOI: (10.1016/S0025-6196(12)60196-7) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions